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Paraphimosis – My Foreskin Is Stuck

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What is Paraphimosis?

It is when the foreskin gets stuck behind the head of the penis. This condition only happens in men who are uncircumcised. Usually, the foreskin automatically gets pulled back during sexual intercourse or masturbation.

Most of the time, the foreskin goes back to its original position and that is fine. However, the problem comes when the foreskin gets stuck behind the head of the penis and is unable to move back to its original position.

Paraphimosis can happen during :
1.) Masturbation
2.) Vigorous sexual activity
3.) Penile piercing
4.) Urinary catheterisation (a tube inserted into the bladder)
5.) Or any other reason that the foreskin is pulled back to expose the head of the penis

What is Cause of Paraphimosis?

During erection, the penis becomes bigger than when it’s flaccid. So sometimes when the foreskin is rolled back in this state, it gets stuck as the penis is now bigger than it usually is and the foreskin is now too tight to be rolled back to the front.
Paraphimosis occurs when the foreskin is retracted behind the crown (corona) of the penis and can’t be returned to the unretracted position.
This, in turn, creates a vicious cycle or events. When stuck, the foreskin below the head gets swollen because it’s too tight.
Due to the swelling, there is increasing pressure on the erect penis. This will cause more tightening on the foreskin. When the pressure continues to build up below the head, this increases the pressure of the foreskin over the penis and this may lead to strangulation and entrapment of the penis. It will then prevent the blood from the erect penis to drain thus it cannot become flaccid. If this situation continues, it may cause necrosis which is the death of the penile tissue.

Symptoms of Paraphimosis:

If you have these symptoms below, it could indicate that your condition is getting serious and you should seek medical attention as soon as possible:
1.) Pain and swelling of the glans penis
2.) Inability to retract the foreskin back over to the penile glans.
3.) Discolouration, either dark red or bluish colour of the penis
The symptoms of phimosis and paraphimosis may look like other problems or medical conditions.
If your foreskin is stuck behind the head of the penis, please see a doctor as soon as you can. It is an emergency!

 

Paraphimosis is a urological emergency.
If you are suffering from paraphimosis, see a doctor as soon as you can.
So, you should always see your doctor for a diagnosis.

How to diagnose Paraphimosis?

What is the Treatment for Paraphimosis?

 

A careful physical exam by your doctor normally gives enough information to make a diagnosis. The vast majority of paraphimosis can be easily treated in a clinic by an experienced doctor. Our Doctor has treated multiple cases of paraphimosis in our clinics. A skilled doctor will be able to reduce the swelling and pull the foreskin back to its natural position. Very often, the only anaesthesia needed is a bit of ice on the foreskin to numb it.

Once the foreskin is put back in its original position covering the head of the penis, everything goes back to normal. Any swelling or pain fades extremely quickly. If the problem keeps recurring, the patient should consider undergoing a circumcision to prevent the problem from coming back. The reason why paraphimosis is an emergency is-if there is a failure to reduce the paraphimosis will result in necrosis
(death of tissue) of the glans!

If you wish to speak to our doctor about paraphimosis, please visit our DTAP Clinics or you can call us, or email us for an appointment at hello@dtapclinic.com.sg

Take Care!

 

Also, Read:

  1. Things to do to maintain your penis health
  2. 10 Ways to Improve Sexual Performance for Men
  3. An Overview of STD by an STD Doctor
  4. Sexual Health Advice for Travellers 
  5. What you need to Know about Erectile Dysfunction 
  6. What You Need to Know about Premature Ejaculation Treatment
  7. What you need to know about Testosterone Deficiency Syndrome
  8. What is HIV / AIDS Signs and Symptoms

What Are the Top 7 Reason Men Undergo Circumcision?

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Circumcision has always been a hot topic for discussion. Some are against it, and some are for it. One thing for sure is that it has a lot of benefits.
Circumcision is a medical procedure for foreskin removal.
I will be sharing with you the Top 7 Reasons of circumcision so that you can make your own decision if it is something suitable for you.

Better Hygiene

The presence of the foreskin increases moisture and warmth around the penis. And this promotes the collection of smegma which is a combination of shed skin cells, skin oils, and moisture.
When accumulated, it will contribute to a foul odour and leads to poor hygiene.
When circumcised, they won’t be any more space for the smegma to accumulate.
So your penis will have better hygiene and even smell better.

Reduce Risk of Balanitis

Balanitis is an infection of the penis tip and foreskin. It is most commonly caused by Candida which is a type of yeast.
It’s uncomfortable and irritating and for some people, they get infected multiple times.
When you’re circumcised, you have an almost negligible risk of getting balanitis.
Saves you the trip to the doctors and the money to see one.

Reduce the risk of STDs and HIV

In Africa, adult circumcision is advocated in order to bring down the HIV epidemic.
Some STDs are treatable (see STD treatments) however HIV is not (see HIV Management).
If you can further reduce the risk of contracting this deadly disease, why not?

Prevent cancer

Circumcision is also associated with a lower risk of getting penile cancer, and reduced risk of cervical cancer in their partners.
You’re not only saving yourself but also your partner. It’s a win-win!

Less UTIs

Bacteria usually cause UTI’s or urinary tract infection.
Symptoms include painful urination and or blood in the urine. It’s very annoying to have.
Will be quite useful to have one less disease to be worried about.

Better Sex

Nowadays many women prefer men who are circumcised or cut. There are various reasons for this. Some like the appearance and find it a turn on.
Some love it that it is cleaner and smells better and it makes them feel more comfortable during sex. And of course, when you are circumcised you won’t have pain during intercourse. Which could be due to a tight foreskin or from paraphimosis.
Paraphimosis is a condition where the foreskin gets stuck below the head. It’s a medical emergency that requires immediate treatment.
Better sex is always a lovely bonus.

Last longer in bed

With the foreskin removed, the head of the penis will get exposed all the time.
This will lead to keratinisation of the head. Hence it will desensitize it.
When more desensitized, it will help you last longer in bed. And now you’re gonna be a stud in the bedroom.

That’s All Folks!
If you wish to know more about Adult Circumcision and How is it performed visit our Mens Health Page.

Related Read:

  1. STD Risk for Receptive Unprotected Anal Sex in Men
  2. 10 Ways to Improve Sexual Performance for Men
  3. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  4. Pearly Penile Papules (Bumps On Penis)
  5. Phimosis – Unusually Tight Foreskin 
  6. An Overview of STD – From an STD Doctor
  7. What are the Signs & Symptoms of HIV and AIDS?
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. What are the Causes of Foreskin Infection?

What are the Cause of Foreskin Infection (Balanitis)?

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What is Balanitis?

Balanitis is a common infection that affects the head of the penis and the foreskin.
It is more commonly seen in boys and men who are not circumcised.

What are the Signs & Symptoms of Balanitis?

The Common Symptoms of the infection of the Penis include a sore, itchy and smelly penis, redness and swelling, the build-up of thick fluid around your penis, and pain when peeing.

Phimosis can increase the risk of balanitis.
Some adults may also have a tight foreskin that is unable to be fully retracted. This is called phimosis and can increase the risk of balanitis.

What are the Causes of Balanitis?

Balanitis can be caused by poor hygiene.
This can lead to a build-up of Smegma is a buildup of dead skin cells, oil, and other fluids on the tip of the penis.
If left for prolonged periods it can lead to fungal and bacterial infections.

What are the Treatments of Balanitis?

You should see your doctor if you have persistent swelling, redness or irritation or if you have other accompanying symptoms like penile discharge or painful urination.
In most cases of balanitis are easily treated with good hygiene and creams and ointments recommended by your doctors.
Also, circumcision may be advised in recurrent cases of balanitis.
You can have sex during treatment if your balanitis isn’t caused by an infection.
But if it’s caused by an infection, like an STI or thrush, there’s a risk of passing this on.
Do consult any of our doctors if you are ever unsure of your symptoms so that we can do a proper examination and also to perform any lab tests if necessary.

If you wish to know more about Balanitis, please visit our DTAP Clinics or drop us an email at hello@dtapclinic.com.sg

Other Reads:

  1. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  2. Weak Erection? Erectile Dysfunction? How to Improve Erection with Pills
  3. HPV Infection & HPV Vaccination for Men who have sex with Men
  4. STD Risk for Receptive Unprotected Anal Sex in Men
  5. An Overview on STD from an STD Doctor
  6. Everything You Need to Know about Herpes Simplex Virus
  7. How Do I Treat Oral Herpes (Cold Sores)
  8. Syphilis Symptoms – Painless Sore & Ulcers
  9. HIV Symptoms – What You Need to Know

How is the Adult Circumcision (Foreskin Removal) Procedure Done?

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What is Male Circumcision?

Male circumcision is the removal of the foreskin from the penis.

Why Do Some Some Adults Undergo Circumcision?

Circumcision for adults is a medical treatment option for patients with recurrent foreskin infections, phimosis (tight foreskin opening), and for religious reasons. Some choose to do it for aesthetic reasons. 

How is Circumcision Done?

Shang Ring Method

In our clinics, we perform circumcision using the Shang Ring Method. A numbing cream will be applied to the foreskin and left for at least 30 minutes.
Once the skin is numb, the Shang Ring will be applied. The size of the ring will be measured prior to the procedure.
The foreskin will be clamped in between the inner and outer ring.
The excess skin will then be removed by surgical scissors. The ring will be left in place for one to two weeks.
After surgery, the patient will be prescribed oral painkillers and antibiotics.

 

What are the Advantages of the Shang Ring and Stapler Method?

It is a circumcision device that shortens the procedure duration down to 5 minutes only instead of the usual 45 minutes or 1 hour via conventional circumcision methods.

  • No sutures necessary
  • No injections
  • Short procedure time (around 5 minutes)
  • Minimal bleeding
  • Frenulum preserved
  • Very low risk of complications
  • Good cosmesis
  • High satisfaction rate among patients

What do you need to beware of After the circumcision procedure?

With the Shang Ring method, there is a very low risk of bleeding and infection.
Usually, the patient may experience some pain or discomfort during nocturnal or morning erections.
You can apply a frozen bag of peas on the penis when an erection occurs and if it causes a lot of pain.
You are advised to avoid any activities that may cause pressure or friction at the wound site for 2 weeks like strenuous physical activities or sexual intercourse.
It is advisable to wear brief or underwear to hold the penis up.
Usually, after 4 to 6 weeks, you can start being sexually active.
Also, a medical certificate is usually given for 1 to 2 weeks to recover.
That is everything there is to Adult Circumcision.

Should you require further information about the circumcision for the adult, please visit drop us an email at  hello@dtapclinic.com.sg.

Take Care!

Other Read

  1. Weak Erection? Erectile Dysfunction? How to Improve Erection with Pills
  2. Things to do to maintain your penis health
  3. Weak Erection: Does Penis Size Matters?
  4. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  5. What are the Causes of Abnormal Penile Discharge?

Phimosis – Unusually Tight Foreskin (Video)

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How Do I Know If I Have Phimosis (Tight Foreskin)?

Phimosis is a condition of unusually tight foreskin that cannot be drawn back from the head of the penis.
It is a constriction of the opening of the foreskin that – it can’t be drawn back over the tip of the penis.
A simple way to find out is just to try to pull your foreskin all the way back until you see the whole head of the penis.
If you cannot do this or if it hurts to do this, you likely suffer from phimosis (tight foreskin).

How Severe are My Phimosis (Tight Foreskin) Condition?

Score 1: Full retraction of the foreskin, tight behind the glans. ☑
Score 2: Partial exposure of glans, prepuce (not congenital adhesions) limiting factor. ☑
Score 3: Partial retraction, meatus just visible. ☑
Score 4: Slight retraction, but some distance between tip and glans, i.e. neither meatus nor glans can be exposed. ☑
Score 5: Absolutely no retraction of the foreskin. ☑

What are the Risk Factors of Phimosis (Tight Foreskin)?

The tightness of the foreskin may interfere with the normal passage of urine.
In severe cases, this may cause retention of urine and urine infection. It also increases the risk of infections of the foreskin and head of the penis.
This problem is especially severe in people with Diabetes.
Also, it may cause pain during sex. If you have phimosis using a condom during sexual intercourse may make the penis more comfortable.

What are the Possible Treatments of Phimosis (Tight Foreskin)?

Your doctor may give you antibiotics if the swabs did showed signs of infection, or may give you a cream for application.
Sometimes, phimosis can be treated simply by stretching the foreskin. Sometimes, doctors will prescribe a cream to help the foreskin stretch.
If the problem is severe and stretching does not help or if the foreskin is badly scarred, the patient may need a circumcision.
Circumcision for adults is a medical treatment option for patients with recurrent foreskin infections, phimosis (tight foreskin opening), and for religious reasons.

If you think you may be suffering from phimosis, see our doctors for a consultation.